| NPI | 1033749916 |
|---|---|
| Other Name | FIVE TOWNS PEDIATRIC DENTSITRY |
| Entity Type | Organization |
| Authorized Contact | YEHUDA MARCIANO Owner 516-295-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |